scholarly journals DILEMA DALAM MANAJEMEN RETINOBLASTOMA

2015 ◽  
Vol 37 (2) ◽  
pp. 101
Author(s):  
Ardizal Rahman
Keyword(s):  
Early Detection ◽  
Socioeconomic Factors ◽  
Developing Country ◽  
Common Reason ◽  
Socioeconomic Level ◽  
Two Factors ◽  
The Relationship

Abstrak:Retinoblastoma merupakan keganasan intraokular tersering pada anak-anak. Deteksi dini memegang peranan penting dalam manajemen retinoblastoma karena sangat mempengaruhi prognosa. Namun, hal ini sulit dilakukan di negara berkembang dengan tingkat sosioekonomi penduduk yang rendah. Penelitian ini bertujuan untuk menggambarkan profil retinoblastoma di RS Dr. M. Djamil Padang tahun 2003-2012, dan menunjukkan hubungan antara faktor sosioekonomi dengan manajemen retinoblastoma. Data diperoleh dari rekam medis pasien. Terdapat 99 pasien retinoblastoma dalam periode tersebut, 56 orang (56,56%) laki-laki dan 43 orang (43,44%) perempuan.Rentang umur terbanyak yaitu 3-4 tahun (40,40%). Retinoblastoma unilateral terdapat pada 76 pasien (76,76 %). Protusio merupakan keluhan tersering sebanyak 65,66% (65 orang). Kombinasi eksenterasi dan kemoterapi merupakan tindakan yang umum dilakukan (32,32%). Alasan terbanyak datang terlambat untuk berobat disebabkan oleh karena tidak punya biaya (42,42%) dan tidak mengerti mengenai bahaya penyakitnya (35,35%). Kedua faktor tersebut menjadi dilemma, oleh karena di satu sisi kita berusaha mendeteksi dini penyakit retinoblastoma ini, sementara dari segi finansial dan faktor sosioekonomi keluarga penderita tidak mendukung.Abstract:Retinoblastoma is the most common intraocular malignancy in children. Early detection plays an important role in management of retinoblastoma because it significantly affects the prognosis. Unfortunately, early detection is difficult in developing country due tolow socioeconomic level. This study aims to describe the profile of retinoblastoma in Dr. M. Djamil Hospital Padang from 2003 to2012, and to show the relationship between socioeconomic factors and management of retinoblastoma. Data was obtained from patients’ medical records.There were 99 retinoblastoma patients in this period, 56 (56.56%) male and 43 (43.44%) female. The majority of patients aged 3-4 years (40.40%). Unilateral retinoblastoma presented in 76 patients (76.76%). Protusio is the most common ocular presentation(65.66 %). Combination of exenteration and chemotherapy was the most commonmanagement (32.32%). The most common reason causing delay to seek treatment wasfinancial problems (42.42%) followed by lack of informationabout the complication of disease (35.35%). These two factors were dilemma,because on one hand we were trying to find cases earlier, but patients’ financial and socioeconomic factors were not supporting.

scholarly journals The Impact of Parental Behavior on the Cognitive Level of Preschoolers in Upper-Egypt

2021 ◽  
pp. 102-110
Author(s):  
Rania Megally ◽  
Rasha Aly Rashed ◽  
Hebatallah Ghoneim
Keyword(s):  
Preschool Children ◽  
Socioeconomic Factors ◽  
Developing Country ◽  
Parental Behavior ◽  
Parenting Behavior ◽  
Cognitive Level ◽  
Upper Egypt ◽  
Cognitive Levels ◽  
The Impact ◽  
The Relationship

COVID-19 has reshaped our lives. Our houses turned into co-working areas, school classrooms, and playgrounds. Social distancing has put more weight on parents to ensure their children’s education and cognitive gains. This has raised questions about the impact parents had on their children’s cognitive levels even before COVID-19. This paper is an attempt to show how parents’ behavior contributes to improving the cognitive level of their preschool children in a developing country. The paper also attempts to determine the relationship between parenting behavior and socioeconomic factors such as income and education.

External Investigators' Follow-Up Intentions When Whistleblowers Report Healthcare Fraud: The Effects of Report Anonymity and Previous Confrontation

2020 ◽  
Vol 32 (2) ◽  
pp. 91-101
Author(s):  
Steven E. Kaplan ◽  
Danny Lanier ◽  
Kelly R. Pope ◽  
Janet A. Samuels
Keyword(s):  
Experimental Study ◽  
Early Detection ◽  
Data Availability ◽  
Medical Provider ◽  
Perceived Credibility ◽  
The Relationship ◽  
Critical Investigation

ABSTRACT Whistleblowing reports, if properly investigated, facilitate the early detection of fraud. Although critical, investigation-related decisions represent a relatively underexplored component of the whistleblowing process. Investigators are responsible for initially deciding whether to follow-up on reports alleging fraud. We report the results of an experimental study examining the follow-up intentions of highly experienced healthcare investigators. Participants, in the role of an insurance investigator, are asked to review a whistleblowing report alleging billing fraud occurring at a medical provider. Thus, participants are serving as external investigators. In a between-participant design, we manipulate the report type and whether the caller previously confronted the wrongdoer. We find that compared to an anonymous report, a non-anonymous report is perceived as more credible and follow-up intentions stronger. We also find that perceived credibility fully mediates the relationship between report type and follow-up intentions. Previous confrontation is not significantly associated with either perceived credibility or follow-up intentions. Data Availability: Data are available upon request.

A contingency perspective on learning and instruction in physical education

2021 ◽  
pp. 1356336X2098588
Author(s):  
Jonas Wibowo ◽  
Ben Dyson
Keyword(s):  
Physical Education ◽  
Learning Processes ◽  
Methodological Issues ◽  
Unit Of Analysis ◽  
Contingency Perspective ◽  
Two Factors ◽  
The Individual ◽  
Teaching Learning ◽  
The Relationship ◽  
Learning And Instruction

In this article, we focus on the contingency between learning and instruction in physical education (PE). We argue that the complex interconnectedness of teachers’ instruction and students’ learning processes should be studied using a unit of analysis that expresses the relationship between the two factors. A contingency perspective foregrounds the individual differences between different learners and how a teacher regards these differences. Furthermore, it has the potential to provide a precise lens for empirical research on how the students’ situations shape the evolution of the teaching--learning process. Based on scaffolding research and adaptive teaching research, which draws on socio-constructivist foundations, we call this unit of analysis ‘contingency’. We outline a framework of research that suggests depicting contingency dimensions, respective instructional continua, and contingency rules when investigating contingency in PE. Furthermore, autonomy as a core contingency dimension for PE and methodological issues will be discussed.

scholarly journals Effect of genotype, age of hens and K/k allele on eggshell quality

2011 ◽  
Vol 56 (No. 5) ◽  
pp. 242-249 ◽  
Author(s):  
Z. Ledvinka ◽  
L. Zita ◽  
M. Hubený ◽  
E. Tůmová ◽  
M. Tyller ◽  
...  
Keyword(s):  
Growth Rate ◽  
Egg Production ◽  
Statistical Significance ◽  
Live Weight ◽  
Shape Index ◽  
Feed Mixture ◽  
Eggshell Quality ◽  
Feather Growth ◽  
Two Factors ◽  
The Relationship

We assessed the influence of the particular genotype, age of layers, feather growth-rate gene, and their mutual interactions on selected indicators of eggshell quality in six groups of hens of the laying type Dominant. The following genotypes were examined in the experiment: Barred Plymouth Rock, Dominant BPR 951 (K) strain, slow-feathering; Barred Plymouth Rock, Dominant BPR 901 (k) strain, fast-feathering; Blue Plymouth Rock, Dominant BLPR 954 (K) strain, slow-feathering; Blue Plymouth Rock, Dominant BLPR 894 (k) strain, fast-feathering; crossbreds of the above strains in the F<sub>1</sub> generation Dominant D 107 blue (K), slow-feathering and Dominant D 107 blue (k), fast-feathering. The layers were fed a feed mixture NP1 (16.64 % CP) from the 20<sup>th</sup> week of age and a feed mixture NP2 (15.02% CP) from the 42<sup>nd</sup> week. Husbandry conditions met the regular requirements of laying hens. Egg production and live weight of hens were monitored for the duration of the experiment (12 months). Eggshell quality was examined at the layers' age of 27, 35 and 56 weeks. The average hen-day egg production for the duration of the experiment (12 months) was not significantly influenced by the particular genotype or the feather growth-rate gene. The varying representation of the feather growth-rate gene significantly (P &le; 0.001) influenced the live weight; similarly, the relationship between the genotype and the representation of K/k alleles was significant. The average egg weight was influenced statistically significantly (P &le; 0.001) by the age of hens, their genotype (P &le; 0.05), feather growth-rate gene (P &le; 0.001), and the relationship between the age and genotype (P &le; 0.001). The age of hens, genotype, and the interaction of these two factors affected the egg shape index, as did the incidence of the feather growth-rate gene within the population (with a statistical significance of P &le; 0.001). The age, genotype and the feather growth-rate gene incidence within the population also significantly affected the eggshell quality indicators. In the eggshell to egg ratio, eggshell thickness and strength, an interaction was determined between the age of hens and their particular genotype. The eggshell colour was also significantly (P &le; 0.001) affected by hens' age, genotype (P &le; 0.001), as well as by the feather growth-rate gene (P &le; 0.001). No significant interaction between the age and the genotype was found for this indicator.

scholarly journals The Effect of Family Background on Student Effort

2014 ◽  
Vol 14 (4) ◽  
pp. 1337-1403 ◽  
Author(s):  
Zoë Kuehn ◽  
Pedro Landeras
Keyword(s):  
Parental Education ◽  
Family Background ◽  
Compulsory Education ◽  
Marginal Productivity ◽  
School Students ◽  
Student Effort ◽  
Her Family ◽  
Two Factors ◽  
University Degree ◽  
The Relationship

Abstract Students from more advantageous family backgrounds tend to perform better than those from less advantageous backgrounds. But it is not clear that these students exert more effort. We build a model of students, schools, and employers to study the interaction of family background and effort exerted by the student in the education process. Two factors turn out to be key in determining the relationship between effort and family background: (i) the student’s attitude toward risk and (ii) how the student’s marginal productivity of effort depends on her family background. We show that when the degree of risk aversion is relatively low (high) compared to the sensitivity of the marginal productivity of effort, students from more advantageous family backgrounds exert more (less) effort. Empirically, we find that if parental education was reduced from holding a university degree to incomplete compulsory education, primary and secondary school students would exert around 21–23% less effort (approximately equal to a reduction of 2 hours weekly in homework). For primary school students we also find that marginal productivities of effort are higher for those from less advantageous family backgrounds.

Depressive Experience and Romantic Relationships in Young Adulthood

1998 ◽  
Vol 82 (1) ◽  
pp. 339-349 ◽  
Author(s):  
Thomas L. Morrison ◽  
Anthony J. Urquiza ◽  
Beth L. Goodlin-Jones
Keyword(s):  
Romantic Relationships ◽  
Relationship Satisfaction ◽  
Young Adulthood ◽  
Local Community ◽  
Attachment Security ◽  
Relationship Distress ◽  
Sexual Dissatisfaction ◽  
Two Factors ◽  
Relational Aspect ◽  
The Relationship

This study examined the associations between two factors of depressive experience (dependency and self-criticism) and satisfaction in adult romantic relationships. The Depressive Experiences Questionnaire, along with measures of attachment and relationship satisfaction, were administered to 107 men and 140 women attending local community colleges. Self-criticism was associated with global relationship distress and sexual dissatisfaction. In a combined regression equation, measures of self-criticism, attachment security, and attachment activation all contributed to predicting general relationship distress. Only scores on self-criticism predicted sexual dissatisfaction. The relationship dissatisfaction reported by those with high scores on self-criticism appears to be a relational aspect of the “destructiveness of perfectionism” described by Blatt.

Research on the Dilemma and Path of Rural Industry Integration and Internet Revitalization Driven by E-commerce

2021 ◽  
Vol 7 (5) ◽  
pp. 4163-4171
Author(s):  
Feng Xu
Keyword(s):  
Internet Technology ◽  
The Internet ◽  
Development Mode ◽  
Rural Industry ◽  
Effective Strategies ◽  
Correlation Degree ◽  
New Development ◽  
Two Factors ◽  
Industry Integration ◽  
The Relationship

The emergence of Internet technology provides a new development mode for the development of rural industry. In view of the fact that the rural integrated Internet is in its infancy, and the unpredictability and uncertainty of “Internet +” innovation in the era of “digital economy”, the development of rural integrated Internet is facing many challenges, and there are development misunderstandings and dilemmas. This paper studies the dilemma and path of rural industry integration and Internet revitalization driven by e-commerce. Driven by e-commerce, this paper analyzes the current situation of the Internet revitalization of rural industry integration, summarizes the problems existing in the Internet revitalization of rural industry integration, constructs a grey correlation model to analyze the correlation degree of the influencing factors in the rural industry and Internet integration, and takes a certain rural industry as an example to prove that the model can be used to analyze the relationship between the two factors On this basis, the paper puts forward the effective strategies of rural industry integration and Internet revitalization driven by e-commerce.

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